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HomeMy WebLinkAbout579299 HOSPITAL COURIERS DENVER LLC - INSURANCE CERTIFICATEACORO' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 164� 9/23/2019 9/21 /2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 NAME: T PH NE FAX E CAILo Ext : A/C No ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Liberty Mutual Fire Insurance Company 23035 INSURED HOSPITAL COURIERS DENVER, LLC 1421697 4520 FLORENCE STREET DENVER, CO 80238 INSURER B : Travelers Casualty and Surety Co of America 31194 INSURER C : Navi ators Insurance Company42307 INSURER D : AGCS Marine Insurance Company22837 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 14390991 RFVIRION NI IMRFP: XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUER WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y N TB2-641-445332-028 9/23/2018 9/23/2019 EACH OCCURRENCE 1000 000 CLAIMS -MADE � OCCUR PREMISES (ETO a RENTED ) $ 1,000,000 MED EXP (Any oneperson)1 O OOO PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY❑ JE C ❑ LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER_ • AUTOMOBILE LIABILITY Y N AI2-641-445332-038 9/23/2018 9/23/2019 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ XXXXXXX X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident $ XX�� XXJX X AUTOS ONLY X AUUTO ONLY Perr accldenDAMAGE $ XXXXXXX $ XXXXXXX C }{ UMBRELLA LIAB X OCCUR N N CHI8UMR854635IV 9/23/2018 9/23/2019 EACH OCCURRENCE $ 10,000000 AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE DED I X I RETENTION $ 10,000 PROD/COMP. OPS $ 10 00,000 A WORKERS COMPENSATION AND EMPLO ERS' L ABILIITY Y / N N WC2-641-445332-018 9/23/2018 9/23/2019 X STATUTE OER E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ANY PROPRIETOR/PARTNER/EXECUTIVE N❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A E.L. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASE - POLICY LIMIT 1, 1,000,000 D MOTOR TRUCK CARGO N N MZ193078913 9/23/2018 9/23/2019 LIMIT: $350,000 B CRHv1E/EMPLOYEE 106987832 10/1/2018 10/1/2019 LIMIT: $3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) THE CITY OF FORT COLLINS, CO, ITS OFFICERS, AGENTS, AND EMPLOYEES ARE LISTED AS ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY AND AUTOMOBILE LIABILITY AS REQUIRED BY WRITTEN CONTRACT SUBJECT TO POLICY TERMS AND CONDITIONS. I� L.t_K I It -ILA I t t1ULULK UANUtLLA I KIN SHOULD ANY OF THE ABOVE DESCRIBED -POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1439098/ AUTHORIZED REPRESENTATIVE CITY OF FORT COLLINS, COLORADO ATTN: DIRECTOR OF PURCHASING AND RISK MANAGEMENT PO BOX 580 FORT COLLINS, CO 80522 ACORD 25 (2016/03) ©19$8-2015 ACORD CORPORATION_ All rinhts reserved The ACORD name and logo are registered marks of ACORD